24시간 만에 호전된 단안성 푸르처 망막병증 의증 환자의 OCT 양상 1예

• 영문명: Spontaneously Resolved Purtscher’s Retinopathy within 24 Hours: Case Report and OCT Review
• 발행기관: 대한안과학회
• 저자명: 이민영 박재영 서원문,Min Young Lee, MD, Jae Yeong Park, MD, Won Moon Seo, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number9, 1341~1345쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.09.15

영문 초록

Purpose: To report a case of unilateral Purtscher’s retinopathy that spontaneously resolved within 24 hours. Case summary: A 54-year-old man presented with decreased visual acuity in his left eye after a vehicle accident. When the accident occurred, his chest region was compressed by the safety belt. The case was diagnosed with Purtscher’s retinopathy based on fundus examination, flourescein angiography (FAG) and optical coherent tomography (OCT). At presentation, the best corrected visual acuity (BCVA) was 0.3 in the affected eye. Tiny Purtscher-flecken and macular edema were observed but there was no sign of retinal hemorrhage. Immediately after the trauma, OCT detected abnormally increased hyperreflectivity in the nerve fiber layer and ganglion cell layer, severe cystoid edema and serous foveal detachment. Without any treatment, BCVA was improved to 1.0 within 12 hours. Recovery of visual acuity was followed by improvement of abnormal hyperreflectivity in the nerve fiber layer, cystoid macular edema and serous foveal detachment. Conclusions: The authors of the present study report a dramatically resolved unilateral Purtscher’s retinopathy after blunt chest trauma. J Korean Ophthalmol Soc 2012;53(9):1341-1345

키워드

Blunt chest trauma, Optical coherent tomography, Purtscher’s retinopathy